770.378.7178

advanced Denial and appeals management

helping healthcare providers

    OVERTURN CHALLENGING CLAIM DENIALS

     protect revenue against Offsets

     Maximize insurance Reimbursement

     

     





Claims data
ANALYSIS ProJects

Navigating the maze of insurance complexities, we are skilled and equipped to conduct extensive audits on payer ERA's and EOB's going back 6 years to assess potential revenue   recovery opportunities. Our services are focused on assisting provider clients with Revenue Improvement and Protection,  addressing claims processes not in alignment with applicable state and federal mandates.  


Payer COMPLIANCE requirements

Understanding that compliance is a two way street, we utilize ERISA and other relevant laws to help hold insurance companies accountable to payer claims processing and handling compliance requirements.  We focus on assisting our clients in overturning  challenging claim denials to receive the revenue entitled and improve profitability.

Revenue Cycle
team TRAINING

Offering On-site education to empower revenue cycle and billing  teams with a broad spectrum of relevant laws,  valuable resources, advanced denial management strategies and compliant tips proven to create powerful appeals, combat unfair denials and offsets, address invalid audit attempts and compel claims payment.    

claims recovery and denial management services

Denial Management Training and Consulting Services designed to exercise a compliant approach to support our Client's Revenue Improvement and Organizational success 

Specialized Multi-level Appeal Services are provided on a contingency basis.